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NPI 1396612370

NPI 1396612370 : BAKERSFIELD ADVANCED SURGERY CENTER PC : BAKERSFIELD, CA

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General NPI Number Information
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    NPI Number           |    1396612370
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    Entity Type          |    Organization 
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    Legal Business Name  |    BAKERSFIELD ADVANCED SURGERY CENTER PC 
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Dates
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    Enumeration Date     |    10/22/2025
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    Last Update Date     |    10/22/2025
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Provider Practice Location Address
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    Address Line         |    5600 CALIFORNIA AVE STE 102 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93309-1614
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    Country              |    US
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    Telephone            |    661-579-2180
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    Fax                  |    661-525-4555
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Provider Business Mailing Address
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    Address Line         |    5600 CALIFORNIA AVE STE 102 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93309-1614
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    Country              |    US
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    Telephone            |    661-579-2180
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    Fax                  |    661-525-4555
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |     DANIEL PARDIS TAHERI 
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    Credential           |    MD
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    Telephone            |    661-266-2994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QA1903X
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    Taxonomy Name        |    Ambulatory Surgical Clinic/Center
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    License Number       |    
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    License Number State |    
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